| NPI | 1386110070 |
|---|---|
| Other Name | JACKLIN H SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010072) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP9500072) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-11-11 |